(Version-2): 50 Q&A
1. A nurse is reinforcing teaching about newborn umbilical cord
care with a client who is postpartum. Which of the following
statements should the nurse identify as an indication that the
client understands the instructions?
"I will report any drainage from my baby's umbilical cord."
2. A nurse is reinforcing discharge teaching with a client who has
mastitis of the left breast. Which of the following instructions
should the nurse include?
Pump the affected breast frequently
3. A nurse is reinforcing teaching with a client who is at 8 weeks
of gestation. Which of the following responses by the client
indicates an understanding of the teaching?
"I should expect to have a white vaginal discharge during
pregnancy."
4. A nurse is caring for a client who gave birth to a newborn who
is large for gestation age (LGA) 16 hr. ago. Which of the
following findings should the nurse identify as a complication of
the birth of a newborn who is LGA?
Hemorrhage
5. A nurse is collecting data from a client who is receiving
magnesium sulfate IV for preeclampsia. The nurse should
identify which of the following findings as an indication of
toxicity to report to the provider?
Respiratory rate 10/min
6. A nurse in a postpartum unit is caring for a client who has
endometritis and is 48 hr. postpartum following a cesarean
, birth. Which of the following findings should the nurse
anticipate?
Heart rate 110/min
7. A nurse is collecting data from the parent of a newborn
immediately following birth. The parent states, "She is so tiny.
We don't know how to pick her up without hurting her." Which
of the following actions should the nurse take first to promote
parent-newborn attachment?
Demonstrate to the parent how to hold the newborn.
8. A nurse is reinforcing teaching with a client who has a bacterial
infection. Which of the following statements should the nurse
include in the teaching?
"You should suspend breastfeeding for 8-10 days."
9. A nurse is reinforcing teaching about newborn home safety
precautions with a group of new mothers. Which of the
following instructions should the nurse include?
"Crib slats should be no more than 2.25 inches apart."
10. A nurse is reinforcing teaching with a client who is at 16
weeks of gestation, has diabetes mellitus, and has a BMI of 31.
Which of the following statements should the nurse identify as
an indication that the client understands the teaching?
"My intake should be 25 calories per kilogram of my body
weight or less per day."
11. A nurse is planning to reinforce discharge teaching about
formula feeding with the guardian of a newborn. Which of the
following instructions should the nurse plan to include?
Provide the newborn with six to eight feedings during a 24-hr
period.
12. A nurse in a clinic is collecting data from a client who is at 12
weeks of gestation. Which of the following actions should the
nurse take?
Use an ultrasound stethoscope to listen to fetal heart tones.
13. A nurse is caring for a client who is 18 hr postpartum and
has a fourth-degree perineal laceration. The client reports a